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CitarPatient A., aged 54. Entered on an emergency basis in KPH Samara State Medical University Complaints: Pain in the scrotum, a sharp increase in its size, "blackening" scrotal skin, increased body t to 40.0 ? C A history of the disease: sick for five days when he began to report pain in member of scrotal angle. One day before admission noted a sharp increase in the size of the scrotum, the blackening of the skin, increasing the t of the body. On examination the scrotum is greatly increased in size, the skin is tense, black. On palpation sharply painful, is determined by a crackling sound. In KLA marked leukocytosis with a shift to the left of the formula. the day of admission: Operation: Opening of cellulitis. Necrectomy. After surgery, the patient was in the emergency department and intensive care. Receive comprehensive treatment, broad-spectrum antibiotics .. 3rd day Operation: necrectomy. Parapraktita autopsy. Drainage of the pelvis on Buyal'skiy After operations observed severe anemia, requiring red blood cell transfusions and fresh frozen plasma. 8th day operations: moving the testicles to the inner thighs. On the 10th day removed from the pelvic drains. On the 14 day urethral catheter is removed. 18 day operation plastic skin of the penis with local tissues. The result is unsatisfactory. 28 days of operation autodermoplasty Thiersch 42 day operation by Thiersch autodermoplasty The patient was discharged home in satisfactory condition.